# CENTRAL PHARMACY-OWOSSO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Pharmacy-Owosso
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518468776
- **Authorized official:** DAVID MICHAEL LARNER (OWNER)
- **Authorized official phone:** (989) 725-1344

## Contact information

- **Practice address:** 111 N WASHINGTON ST, OWOSSO, MI 48867-2819
- **Practice address phone:** (989) 725-1344
- **Practice address fax:** (989) 729-0109
- **Mailing address:** 111 N WASHINGTON ST, OWOSSO, MI 48867-2819
- **Mailing address phone:** (989) 725-1344
- **Mailing address fax:** (989) 729-0109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 5301010567 | MI | Yes |

## Other

- **Enumeration date:** 02/23/2018
- **Last updated:** 07/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1851337760 | — | MI |
| 01 | — | 2175989 | PK | — |
| 01 | — | 2384395 | NCPDP | — |